SearchMichigan104100000X

Payton Jackson, LMSW

NPI 1609316777 · on the registry since 2017 · sole proprietor

Practice

Address
7042 Valleybrook Rd
West Bloomfield, MI 48322
Phone
(313) 282-5937

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan